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Extra Eyelashes (Distichia) and Ectopic Cilia
Extra Eyelashes are found right on the eyelid edge,
and they grow from glands in the eyelid edge. They are also called
distichia - as they form a double row of eyelashes.
Extra eyelashes are seen in many breeds of dogs; notably
Cocker Spaniels (American & English), Bulldogs, Poodles, Staffordshire
Bull Terriers, Shetland Sheepdogs, Golden Retrievers, Dachshunds
and the Pekingese.
Ectopic cilia are usually single eyelid hairs that
are growing the wrong way, and they actually grow right onto the
eye. They may cause severe pain. Ectopic cilia can occur on occasions
in any breed, but most commonly seen in Shelties and Pekingese.
Clinical Signs
1. Squinting
2. Blinking
3. Watery discharge
4. Conjunctivitis
5. Corneal irritation
- scarring with vascular or pigment tissue
6. Corneal ulceration
Surgery is only required if the extra
eyelashes are actually causing disease.
There are 2 techniques that Veterinary Eye Specialists
use:
1. Transconjunctival Excision (TCE) Using the operating
microscope each individual extra eyelash root is excised. This technique
is preferred for ectopic cilia removal. The surgery is done on the
inside of the eyelid so no scarring is evident.
2. Cryoepilation This technique may be preferred in
some dogs especially those with thin eyelids. This involves freezing
the affected area of eyelid and then plucking the eyelashes. This
may cause swelling of the eyelid for 3 - 5 days, and may cause temporary
pigment loss. The pigment generally returns within 6 to 24 weeks.
Post Operative Care
In rare cases an eyelash loose in the wound may irritate
the eye. Please call us if the eye seems to be sore or squints after
surgery. We generally check the eyelids 10 to 14 days after surgery.
At this time we may “pluck” dead eyelashes from the eyelids. The
next check is then 3 months after surgery; this is the time when
“new” extra eyelashes should be apparent. Both of these visits are
included in the surgery fee.
Further surgery may be required
At any one time 10-15% of the eyelash follicles are
inactive no treatment can destroy these extra eyelash follicles.
With either technique it is possible for new extra eyelashes to
grow. More surgery may be required if these new extra eyelashes
cause irritation. It is rare for surgery to be done a third time.
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